The spectrum of imaging appearances of müllerian duct anomalies: focus on MR imaging

• Published in: Japanese journal of radiology Vol. 35; no. 12; pp. 697 - 706
• Main Authors: Fukunaga, Takeru, Fujii, Shinya, Inoue, Chie, Mukuda, Naoko, Murakami, Atsushi, Tanabe, Yoshio, Harada, Tasuku, Ogawa, Toshihide
• Format: Journal Article
• Language: English
• Published: Tokyo Springer Japan 01-12-2017; Springer Nature B.V
• Subjects: Abnormalities; Anomalies; Classification; Complications; Diagnostic systems; Endometriosis; Familiarity; Female; Humans; Hypoplasia; Imaging; Infertility; Magnetic resonance imaging; Magnetic Resonance Imaging - methods; Medicine; Medicine & Public Health; Muellerian duct; Mullerian Ducts - abnormalities; Mullerian Ducts - diagnostic imaging; Nuclear Medicine; Pregnancy; Pregnancy complications; Radiology; Radiotherapy; Review; Ultrasound; Uterus; Magnetic resonance imaging; Pelvis; Müllerian duct anomalies; Classification
• ISSN: 1867-1071; 1867-108X
• DOI: 10.1007/s11604-017-0681-4

Müllerian duct anomalies (MDAs) are the result of incomplete development, vertical or lateral fusion, or absorption of the müllerian ducts. The range of anomalies includes uterovaginal agenesis or hypoplasia, unicornuate uterus, uterus didelphys, bicornuate uterus, septate uterus, and arcuate uterus. Correct diagnosis and classification of these anomalies are essential because pregnancy outcomes and treatment options vary between the types of anomaly. Furthermore, early identification of MDAs helps to avoid prolonged symptomatic periods and the complications that may subsequently arise, such as infertility, endometriosis, and neoplasm. Although many of these abnormalities are initially diagnosed by ultrasound or hysterosalpingography, MR imaging is the most accurate noninvasive modality available for classification of the various anomalies because of its better anatomic assessment compared with other diagnostic modalities. Familiarity with the wide variety of MDA presentations can help in the planning of appropriate treatment.